CPT code 93582: PDA closure, transcatheter approach2026 Medicare rate & RVUs in Texas
Reports catheter-based closure of a patent ductus arteriosus, typically performed by a congenital interventional cardiologist for a clinically significant ductal shunt.
CMS doesn’t publish an office rate for 93582 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 93582 covers
This service closes a patent ductus arteriosus, the persistent connection between the aorta and pulmonary artery, using a catheter-delivered occlusion device. A congenital interventional cardiologist typically performs the procedure in a cardiac catheterization laboratory, using imaging to guide device placement and confirm closure. It is used when the ductal connection warrants intervention, such as when it causes an excessive left-to-right shunt.
Report 93582 for the transcatheter ductal closure, with documentation identifying the PDA, the intervention performed, and the device placement and result. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 93582 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $565.70 |
| Beaumont, TX | Unavailable | $557.95 |
| Brazoria, TX | Unavailable | $552.93 |
| Dallas, TX | Unavailable | $561.19 |
| Fort Worth, TX | Unavailable | $561.68 |
| Galveston, TX | Unavailable | $557.68 |
| Houston, TX | Unavailable | $610.22 |
| Rest of Texas | Unavailable | $558.38 |
How the 93582 rate is calculated
Each of 93582’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93582
RVUs × geographic indexes × conversion factor
Work12.00
12.00 RVUs× 1.000 GPCI
Practice expense2.24
2.24 RVUs× 1.000 GPCI
Malpractice2.87
2.87 RVUs× 1.000 GPCI
Adjusted RVUs
17.1100
Conversion factor
$33.4009
Medicare rate
$571.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93582
The CMS indicators that decide how 93582 is paid alongside other services.
CMS payment indicators · 93582
PDA closure, transcatheter approach
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
93582 without 51 · national facility
$571.49
PDA closure, transcatheter approach
93582-51 · Second procedure: 50%
$285.75
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
93582 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93580ASD closureTranscatheter device closure
- Use 93580 for transcatheter closure of an interatrial communication, such as an atrial septal defect; 93582 is for a PDA.
- 93581VSD closureTranscatheter
- Use 93581 for transcatheter closure of a ventricular septal defect. The defect being closed, not simply the catheter-based approach, distinguishes it from 93582.
- 33820PDA repairLigation
- This code describes open surgical PDA repair by division, with or without ligation. 93582 describes catheter-based closure.
93582 billing questions
How is 93582 different from 93580 or 93581?
93582 is for catheter-based closure of a patent ductus arteriosus. 93580 addresses an interatrial communication, while 93581 addresses a ventricular septal defect.
What documentation supports reporting 93582?
Document the PDA, the clinical reason for closure, the catheter-based intervention, device placement, and the procedural result.
Is same-day preoperative or postoperative care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple procedure reduction.
Can an assistant be reported for this procedure?
Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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